A 55-year-old man is brought to the ED with decreased consciousness after suspected heroin overdose. He has shallow respirations and pinpoint pupils, ...

Question

A 55-year-old man is brought to the ED with decreased consciousness after suspected heroin overdose. He has shallow respirations and pinpoint pupils, and oxygen saturation is 82% on air. What is the most appropriate immediate management?

Accepted Answer

Provide airway support and oxygen, then administer naloxone intravenous or intramuscular

Answer

Give naloxone without oxygen

Answer

Induce vomiting to remove the drug

Answer

Give flumazenil

Answer

Observe without intervention as he may recover spontaneously

au-acem MCQ (SBA): Opioid overdose

A 55-year-old man is brought to the ED with decreased consciousness after suspected heroin overdose. He has shallow respirations and pinpoint pupils, and oxygen saturation is 82% on air. What is the most appropriate immediate management?